Doctor Name: | VANESSA ELIZONDO-HERRERA |
NPI Number: | 1326246596 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CF/SLP |
License Number: | 103432 |
Business Practice Address: | 327 W 3rd St Mercedes, TX - 785703105 |
Business Phone Number: | 9565659300 |
Business Fax Number: | 9565659686 |
Mailing Address: | 327 W 3rd St, MERCEDES |
State: | TX |
Postal Code: | 785703105 |
Phone Number: | 9565659300 |
Fax Number: | 9565659686 |
NPI Enumeration Date: | 07/10/2007 |
NPI Last Update Date: | 07/10/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 103432 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |